SA HEALTHCARE PHYSICIANS,LLC (NPI# 1093012650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093012650 |
| Entity Type | Organization |
| Organization Name | SA HEALTHCARE PHYSICIANS,LLC |
| Practice Address |
145 Route 46 W Wayne NJ 07470-6830 |
| Mailing Address |
Po Box 4059 Wayne NJ 07474-4059 |
| Practice Telephone | 9738268287 |
| Mailing Telephone | 9738268287 |
| Mailing Fax Number | 9735136081 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | DR. KHASHAYAR VOSOUGH (MD/OWNER) |
| Authorized Official Telephone | 9738268287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
145 ROUTE 46 W |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321070 | Surgaide 1 LLC | Specialist | 145 Route 46 W, Wayne, NJ 07470-6830 | 2007-04-03 |
| 1619260189 | Advanced Medical Group LLC | Obstetrics & Gynecology | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2011-05-17 |
| 1134449184 | Sa Healthcare Management, LLC | Obstetrics & Gynecology | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2010-06-01 |
| 1265679708 | Lisa Beth Kogan | Physician Assistant | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2009-01-20 |
| 1356533624 | Surgaide 2 LLC | Specialist | 145 Route 46 W, Wayne, NJ 07470-6830 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708538 | Vip Medical Group of Nj, LLC | Specialist | 342 Hamburg Tpke Ste 203, Wayne, NJ 07470-2166 | 2018-07-30 |
| 1598276701 | D&a Medical Billing and Consulting | Specialist | 120 Bunker Hill Rd, Wayne, NJ 07470-6328 | 2017-10-14 |
| 1699222901 | Raenette Franco | Specialist | 11 Rande Dr., Compassion Works Medical, Wayne, NJ 07470 | 2016-09-02 |
| 1962867614 | Xavier Oliver | Specialist | 4074 Howe Rd, Wayne, MI 48184-1830 | 2015-12-23 |
| 1952643140 | George Harrison Talbot | Specialist | 133 N Wayne Ave, #2, Wayne, PA 19087-3561 | 2013-03-26 |
| 1689919839 | Tatyana Mishin | Specialist | 47 Tanager Ct, Wayne, NJ 07470-8435 | 2012-11-28 |
| 1851689343 | Alexis Tyler Curreri | Specialist | 995 Old Eagle School Rd, Suite 304f, Wayne, PA 19087 | 2011-07-18 |
| 1720371149 | Nabil M Yazgi, M.d. P.a. | Specialist | 401 Hamburg Turnpike, Suite 102, Wayne, NJ 07470-2139 | 2011-05-18 |
| 1730312786 | Laser Spine Institute of Pennsylvania, LLC | Specialist | 656 E Swedesford Rd, Suite 100, Wayne, PA 19087-1606 | 2009-08-25 |
| 1992930440 | Summit Cardiovascular Care, LLC | Specialist | 620 Lee Rd, Suite 120, Wayne, PA 19087-5650 | 2009-05-27 |
| Find all providers in WAYNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.